Reigle J
AACN Clin Issues. 1996 Nov;7(4):585-91. doi: 10.1097/00044067-199611000-00014.
The use of restraints in the critical care setting represents an extreme end on the continuum of behavioral management. Restraints increase a person's vulnerability to neglect, harm, and exploitation and are associated with significant physical harm and devastating psychologic consequences. The central values of respect for persons, preventing harm, and promoting positive outcomes often conflict when physical restraints are used. This article explores the ethical issues confronting critical care nurses as they weigh the potential harms associated with restraints against the primary commitment to the patient's health and safety. The challenge for critical care nurses is to establish more humane and dignified forms of care for critically ill patients.
在重症监护环境中使用约束措施是行为管理连续体上的极端手段。约束措施会增加一个人遭受忽视、伤害和剥削的可能性，并与严重的身体伤害和毁灭性的心理后果相关联。在使用身体约束措施时，尊重患者、预防伤害和促进积极结果这些核心价值观常常相互冲突。本文探讨了重症监护护士在权衡与约束措施相关的潜在危害与对患者健康和安全的首要承诺时所面临的伦理问题。重症监护护士面临的挑战是为重症患者建立更人道、更有尊严的护理方式。
